704 research outputs found

    Barium light source method and apparatus

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    Visible light emission is obtained from a plasma containing elemental barium including neutral barium atoms and barium ion species. Neutral barium provides a strong green light emission in the center of the visible spectrum with a highly efficient conversion of electrical energy into visible light. By the selective excitation of barium ionic species, emission of visible light at longer and shorter wavelengths can be obtained simultaneously with the green emission from neutral barium, effectively providing light that is visually perceived as white. A discharge vessel contains the elemental barium and a buffer gas fill therein, and a discharge inducer is utilized to induce a desired discharge temperature and barium vapor pressure therein to produce from the barium vapor a visible light emission. The discharge can be induced utilizing a glow discharge between electrodes in the discharge vessel as well as by inductively or capacitively coupling RF energy into the plasma within the discharge vessel

    How do Zimbabweans value health states?

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    Background Quality of life weights based on valuations of health states are often used in cost utility analysis and population health measures. This paper reports on an attempt to develop quality of life weights within the Zimbabwe context. Methods 2,384 residents in randomly selected small residential plots of land in a high-density suburb of Harare valued descriptors of 38 health states based on different combinations of the five domains of the EQ-5D (mobility, self-care, usual activities, pain or discomfort and anxiety or depression). The English version of the EQ-5D was used. The time trade-off method was used to determine the values, and 19,020 individual preferences for health states were analysed. A residual maximum likelihood linear mixed model was used to estimate a function for predicting the values of all possible combinations of levels on the five domains. The model was fit to a random subset of two-thirds of the observations, with the remaining observations reserved for analysis of predictive validity. The results were compared to a similar study undertaken in the United Kingdom. Results A credible model was developed to predict the values of states that were not valued directly. In the subset of observations reserved for validation, the mean absolute difference between predicted and observed values was 0.045. All domains of the EQ-5D were found to contribute significantly to the model, both at the moderate and severe levels. Severe pain was found to have the largest negative coefficient, followed by the inability to wash and dress oneself. Conclusion Despite a generally lower education level than their European counterparts, urban Zimbabweans appear to value health states in a consistent manner, and the determination of a global method of establishing quality of life weights may be feasible and valid. However, as the relative weightings of the different domains, although correlated, differed from the standard set of weights recommended by the EuroQol Group, the locally determined coefficients should be used within the Zimbabwean context

    Simvastatin improves the sexual health-related quality of life in men aged 40 years and over with erectile dysfunction : Additional data from the Erectile Dysfunction and Statin trial

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    © 2014 Trivedi et al. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited.Background: Erectile dysfunction is prevalent in men over 40 years, affecting their quality of life and that of their partners. The aims of this study were:a)To evaluate the internal reliability of the male erectile dysfunction specific quality of life (MED-QoL) scale and explore its factor structure.b)To evaluate the effect of simvastatin on subscales of the MED-QoL in men over forty years with erectile dysfunction. Methods: This is a double blind randomised controlled trial of 40 mg simvastatin or placebo given once daily for six months to men over forty years with untreated erectile dysfunction, who were not at high cardiovascular risk and were not on anti-hypertensive or lipid-lowering medication. 173 eligible men were recruited from 10 general practices in East of England. Data were collected at two points over 30 weeks. We report on the factor structure of MED-QoL, the internal reliability of the scale and the derived subscales, and the effect of simvastatin on MED-QoL subscales. Results: An initial analysis of the MED-QoL items suggested that a number of items should be removed (MED-QoL-R). Exploratory factor analysis identified three subscales within the MED-QoL-R which accounted for 96% of the variance, related to feelings of Control, initiating Intimacy, and Emotional response to erectile dysfunction. The alpha value for the revised scale (MED-Qol-R) was >0.95 and exceeded .82 for each subscale. Regression analysis showed that patients in the placebo group experienced a significantly reduced feeling of Control over erectile dysfunction than those in the statin group. Those in the placebo group had significantly lower Emotional response than those in the statin group at the close of trial, but there was no significant treatment effect on Intimacy. Conclusions: Our revised MED-QoL-R identified three subscales. Secondary analysis showed a significant improvement in sexual health related quality of life, specifically in relation to perception of control and emotional health in men with untreated erectile dysfunction given 40 mg simvastatin for six months. Trial registration: Current Controlled Trials ISRCTN66772971.Peer reviewe

    Sentry bioconvertible inferior vena cava filter: Study of stages of incorporation in an experimental ovine model

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    The Sentry inferior vena cava (IVC) filter is designed to provide temporary protection from pulmonary embolism (PE) and then bioconvert to become incorporated in the vessel wall, leaving a patent IVC lumen. Objective. To evaluate the performance and stages of incorporation of the Sentry IVC filter in an ovine model. Methods. Twenty-four bioconvertible devices and 1 control retrievable filter were implanted in the infrarenal IVC of 25 sheep, with extensive daily monitoring and intensive imaging. Vessels and devices were analyzed at early (≤98 days, n = 10) and late (180 ± 30 days, n = 14 study devices, 1 control) termination and necropsy time-points. Results. Deployment success was 100% with all devices confirmed in filtering configuration, there were no filter-related complications, and bioconversion was 100% at termination with vessels widely patent. By 98 days for all early-incorporation analysis animals, the stabilizing cylindrical part of the Sentry frame was incorporated in the vessel wall, and the filter arms were retracted. By 180 days for all late-incorporation analysis animals, the filter arms as well as frames were stably incorporated. Conclusions. Through 180 days, there were no filter-related complications, and the study devices were all bioconverted and stably incorporated, leaving all IVCs patent

    The Church in 'Mansfield Park': a Serious Call?

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    As Mr Crawley said, entering Mr Toogood's presence in The Last Chronicle ofBarset, I stand before you in forma pauperis. Perhaps I should say, formae pauperis, for I am at once a historian examining literature and a mid-nineteenth century governmental man evaluating the early nineteenth-century Church of England. But perhaps also like Mr Crawley's plea, there is an element ofhumbug in my apology. I start with the notion that a nineteenth-century novel and its contemporary surrounds, the institutions and ideas of the day, are mutually illuminating, that they throw their lights back and forward upon each other, energetically. This is hardly so generally accepted, or even so widely disputed, a proposition as to constitute a professionalism of any depth. We are all amateurs here, almost by definition. At the same time, this has-or may have-its special uses. Irresponsibility certainly liberates the imagination, while the avowal of comparative ignorance ought in all conscience to provide the brake. Whether such a spasmodic progress will lead, in this particular case, to uplands or an interminable marsh remains to be seen

    'To live and die [for] Dixie': Irish civilians and the Confederate States of America

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    Around 20,000 Irishmen served in the Confederate army in the Civil War. As a result, they left behind, in various Southern towns and cities, large numbers of friends, family, and community leaders. As with native-born Confederates, Irish civilian support was crucial to Irish participation in the Confederate military effort. Also, Irish civilians served in various supporting roles: in factories and hospitals, on railroads and diplomatic missions, and as boosters for the cause. They also, however, suffered in bombardments, sieges, and the blockade. Usually poorer than their native neighbours, they could not afford to become 'refugees' and move away from the centres of conflict. This essay, based on research from manuscript collections, contemporary newspapers, British Consular records, and Federal military records, will examine the role of Irish civilians in the Confederacy, and assess the role this activity had on their integration into Southern communities. It will also look at Irish civilians in the defeat of the Confederacy, particularly when they came under Union occupation. Initial research shows that Irish civilians were not as upset as other whites in the South about Union victory. They welcomed a return to normalcy, and often 'collaborated' with Union authorities. Also, Irish desertion rates in the Confederate army were particularly high, and I will attempt to gauge whether Irish civilians played a role in this. All of the research in this paper will thus be put in the context of the Drew Gilpin Faust/Gary Gallagher debate on the influence of the Confederate homefront on military performance. By studying the Irish civilian experience one can assess how strong the Confederate national experiment was. Was it a nation without a nationalism

    Biologia continental y oceanica del la Antartida

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    Industrial ecology of metals : barriers and incentives to closing loops

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    Thesis (S.M.)--Massachusetts Institute of Technology, Dept. of Urban Studies and Planning; and, (S.M.)--Massachusetts Institute of Technology, Engineering Systems Division, 2000.Includes bibliographical references (p. 195-107).This thesis examines the end-of-life markets for NiCd batteries and Aluminum Intensive Vehicles (AIVs) through an industrial ecology framework. Case studies were chosen to examine the general characteristics of the industrial ecology of metals, barriers and incentives to closing material loops, and policy interventions associated with loop closing. The NiCd case shows how industry policy and public policy converge towards creation of an environmentally beneficial end-of-life market. The industry coordinated take back program was motivated by public health concern for cadmium landfill contamination. The main barriers to taking back batteries are low consumer participation, insufficient economic incentive for cadmium recovery, and ambiguous industry motivations. Public policy makers should consider subsidizing recycled cadmium prices and adding serious accountability measures to the take back system (such as a tax per unit under a recycle rate goal). The AIV case demonstrates the effectiveness of material value economic incentives for creating and maintaining a self-sufficient recycling system. However, the current recycling system built for steel automobiles will not most efficiently recycle AIVs. Barriers to efficient recycling include inadequate aluminum alloy sorting technology and lack of coordination between firms. Public policy options are limited because recycling efficiency regulation is outside the enabling legislation of agencies, but government should assist industry coordination as much as possible. The case studies also speak generally to loop closing policies that affect either the supply or demand for recycled material. Demand increasing policies (procurement, minimum recycled content, etc.) are more appropriate for recycling systems where a functional system is in place and the last user has sufficient incentive to return the product. On the other hand, supply increasing policies (take back, landfill ban, etc.) may be necessary for products where the last user does not have sufficient incentive to deliver the used product to the recycling system. Industry policy is useful for developing mutually beneficial technology, setting product standards, and coordinating behavior through merger and acquisition.by Jeffrey MacDonagh-Dumler.S.M
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